Individual
JADA CAROL MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
WINDSOR PLACE REHAB, 81 WINDSOR BLVD, COLUMBUS, MS 39702
(662) 241-5518
Mailing address
PO BOX 522, WINONA, MS 38967-0522
(662) 310-3692
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7472
MS
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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